Peroneus longus tendon rupture:A case report

• 作者: Don Koh Joseph Cheah Kevin Koo Lincoln Liow
• 来源期刊: 世界骨科杂志(英文版)
• 学科: 医学
• 关键词: Chronic LATERAL ANKLE pain Peroneus longus RUPTURE PERONEAL TENDINOPATHY TENODESIS Diagnostic challenge Case report
• 年，卷（期）: 2019,（1）
• 页码范围: 45-53
• 页数: 9页
• 分类号: R

摘要

BACKGROUND Peroneal tendinopathies are an under-diagnosed and potentially under-treated pathology.If left untreated it can be a cause of chronic lateral hindfoot pain.Its diagnosis is challenging owing to its low incidence and vague clinical presentation.CASE SUMMARY We share a case of a patient who experienced a chronic lateral ankle pain exacerbated after alighting from a bus.This patient came to our attention only after failing conservative management on two separate occasions.Plain radiographs and magnetic resonance imaging revealed rupture of the peroneus longus tendon(PLT).Findings were confirmed intra-operatively and tenodesis of the PLT to the peroneus brevis was performed.Patient was kept non-weight-bear with his foot everted and in plantarflexion before being converted to an offloading boot at two weeks.Patient was started on a progressive rehabilitation programme at six weeks and was able to return to work shortly after with excellent outcomes.CONCLUSION We aim to share our experience in managing this patient and propose some pointers guided by available literature to avoid missing this commonly overlooked pathology.